title: Unidirectional valved patch closure of ventricular septal defect with arterial switch operation in a patient with d-transposition of great arteries with severe pulmonary hypertension.
abstract: We report our experience with a five-year-old child with d-transposition of great arteries (d-TGA), ventricular septal defect (VSD), and severe pulmonary arterial hypertension (PAH). A fenestrated unidirectional-valved patch was used to close the VSD and a standard arterial witch operation (ASO) was performed. Difficulties in assessment of operability and the choice of procedures in such patients are briefly discussed.
authors.affiliation: Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India. sachintalwar@hotmail.com
authors.forename: Sachin
authors.initials: S
authors.lastname: Talwar
authors.forename: Shyam Sunder
authors.initials: SS
authors.lastname: Kothari
authors.forename: Tameem
authors.initials: T
authors.lastname: Ahmed
authors.forename: Shiv Kumar
authors.initials: SK
authors.lastname: Choudhary
authors.forename: Balram
authors.initials: B
authors.lastname: Airan
mesh_terms: D000015:Abnormalities, Multiple; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004452:Echocardiography; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000503:physiopathology*; D008297:Male; D011669:Pulmonary Wedge Pressure; D014188:Transposition of Great Vessels / Q000175:diagnosis / Q000601:surgery*